About Kaiser Permanente Hawaii Coverage in Waipahu
Kaiser Permanente Hawaii operates 17 distinct networks in Waipahu, HI, with a combined in-network roster of 65 doctors across 17 medical specialties. Among the five largest insurers we track in Waipahu, Kaiser Permanente Hawaii ranks #6 by provider count, the leader is Medicare with 279 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Kaiser Permanente Hawaii networks have the widest reach in Waipahu, and compare coverage against other major insurers before scheduling care.
Kaiser Permanente Hawaii publishes its Waipahu directory at the network level rather than the consumer-plan level. The labels on each row below (for example 60612HI0110001) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
Kaiser Permanente Hawaii sells consumer plans through two channels in Waipahu: 10 ACA marketplace plans on healthcare.gov and 3 Medicare Advantage plans for seniors. Both are listed below with metal tiers, plan types, and star ratings where applicable.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Marketplace plans come from the CMS Qualified Health Plan Public Use File. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed May 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.
Kaiser Permanente Hawaii Networks in Waipahu
Kaiser Permanente Hawaii contracts with doctors at the network level in Waipahu. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them. For consumer plan names, see the section below.
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Kaiser Permanente Hawaii ACA Marketplace Plans Available in Waipahu
10 Kaiser Permanente Hawaii plans sold on healthcare.gov for Waipahu. These are the consumer plan names you’ll see during open enrollment, with metal tier (Bronze/Silver/Gold/Platinum) and plan type (PPO/HMO/EPO/POS).
Bronze plans have lower monthly premiums and higher out-of-pocket costs; Gold and Platinum have higher premiums but lower copays. Your plan choice affects which Kaiser Permanente Hawaii doctors above are in-network. the network labels above map to one or more of these plans.
KP HI Platinum 0/5 Plus CAM
Network: BEST Life and Health National Network
KP HI Standard Platinum 0/10
Network: BEST Life and Health National Network
KP HI Gold 0/40 Plus CAM
Network: BEST Life and Health National Network
KP HI Gold 1000 Ded/250 Rx Ded
Network: BEST Life and Health National Network
KP HI Standard Gold 2000/30
Network: BEST Life and Health National Network
KP HI Silver 3000 Ded/600 Rx Ded Plus CAM
Network: BEST Life and Health National Network
KP HI Silver 4000 Ded/600 Rx Ded
Network: BEST Life and Health National Network
KP HI Standard Silver 6000/40
Network: BEST Life and Health National Network
KP HI Bronze 6000/65 Plus CAM
Network: BEST Life and Health National Network
KP HI Standard Bronze 7500/50
Network: BEST Life and Health National Network
Source: CMS Qualified Health Plan Public Use Files (PY 2026). ACA marketplace plans only. Does not include employer-group or Medicare plans.
Kaiser Permanente Hawaii Medicare Advantage Plans in Waipahu
3 Kaiser Permanente Hawaii Medicare Advantage plans available to seniors in Waipahu. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.
Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.
Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.
Top Specialties Accepting Kaiser Permanente Hawaii
Kaiser Permanente Hawaii’s Waipahu network spans 17 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.
Click any specialty below to see a filtered list of just those in-network providers in Waipahu, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.
Top Hospitals Serving Kaiser Permanente Hawaii Patients in Waipahu
Hospitals with the most Kaiser Permanente Hawaii-network physicians practicing there. Large affiliation counts indicate that Kaiser Permanente Hawaii has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.
Hospital coverage is a separate contract from physician coverage. your Kaiser Permanente Hawaii plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.
Coverage Compared in Waipahu
Side-by-side provider counts for the five largest commercial and government insurers tracked in Waipahu. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.
If Kaiser Permanente Hawaii’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Waipahu provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with Kaiser Permanente Hawaii Coverage
Cities closest to Waipahu where Kaiser Permanente Hawaii has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.
The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Kaiser Permanente Hawaii network size. a small count doesn’t mean no coverage, just that your in-Waipahu options are likely more plentiful.
Frequently Asked Questions
Common questions about Kaiser Permanente Hawaii coverage in Waipahu
How do I find an Kaiser Permanente Hawaii in-network doctor in Waipahu, HI?
Kaiser Permanente Hawaii has 65 in-network providers across 17 medical specialties in Waipahu. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.
What Kaiser Permanente Hawaii ACA marketplace plans cover Waipahu?
Kaiser Permanente Hawaii sells 10 consumer plans on healthcare.gov for Waipahu, HI, including KP HI Bronze 6000/65 Plus CAM, KP HI Gold 0/40 Plus CAM, KP HI Gold 1000 Ded/250 Rx Ded and 7 others. Available plan types are HMO. These plans appear on healthcare.gov during open enrollment (typically November to January) and through special enrollment periods after qualifying life events.
What metal tiers does Kaiser Permanente Hawaii offer in Waipahu?
Kaiser Permanente Hawaii's ACA marketplace presence in Waipahu spans 4 metal tiers: Expanded Bronze (2), Gold (3), Platinum (2), Silver (3). Metal tiers describe the cost-sharing balance, not provider quality. Bronze plans have the lowest monthly premiums but you pay more per visit. Silver plans are eligible for federal cost-sharing reductions if your income qualifies. Gold and Platinum plans cost more monthly but reduce out-of-pocket costs for specialist visits, hospital stays, and prescriptions.
Does Kaiser Permanente Hawaii offer Medicare Advantage in Waipahu?
Yes. Kaiser Permanente Hawaii offers 3 Medicare Advantage plans in Waipahu for 2026, with plan types including HMO, HMO D-SNP. The average CMS star rating across these plans is 4.5 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.
What's the highest-rated Kaiser Permanente Hawaii Medicare Advantage plan in Waipahu?
Kaiser Permanente Senior Advantage Basic (HMO) (HMO) holds Kaiser Permanente Hawaii's top CMS star rating in Waipahu at 4.5 of 5, with a $42 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.
Are there $0 premium Kaiser Permanente Hawaii Medicare Advantage plans in Waipahu?
Yes. 1 of Kaiser Permanente Hawaii's 3 Medicare Advantage plans in Waipahu carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.
Which hospitals in Waipahu accept Kaiser Permanente Hawaii?
Hospitals where Kaiser Permanente Hawaii doctors most commonly practice in Waipahu include KAISER FOUNDATION HOSPITAL, MEDSTAR WASHINGTON HOSPITAL CENTER, SACRED HEART HOSPITAL, THE QUEENS MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Kaiser Permanente Hawaii plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.
Which medical specialties have the most Kaiser Permanente Hawaii providers in Waipahu?
Kaiser Permanente Hawaii's Waipahu network is largest in Family Practice (13), Obstetrics/gynecology (12), Physician Assistant (6). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.
How does Kaiser Permanente Hawaii compare to other insurers in Waipahu?
Kaiser Permanente Hawaii ranks #6 of 6 major insurers tracked in Waipahu by provider count, with 65 doctors. Medicare leads at 279 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Waipahu.
Why don't I see specific Kaiser Permanente Hawaii plan names like Bronze or Silver?
Kaiser Permanente Hawaii files its Waipahu provider directory at the network level rather than by consumer plan name. The labels above (such as 60612HI0110001) are the network identifiers Kaiser Permanente Hawaii uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
How do I verify a doctor is in-network with Kaiser Permanente Hawaii?
Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Kaiser Permanente Hawaii plan, and third check Kaiser Permanente Hawaii's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed May 29, 2026.
What if my doctor isn't listed here?
This list reflects Kaiser Permanente Hawaii's submitted network data as of the last federal filing on May 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Kaiser Permanente Hawaii, then check Kaiser Permanente Hawaii's own member portal for confirmation.
When was this Kaiser Permanente Hawaii data last updated?
The Kaiser Permanente Hawaii Waipahu provider list was last refreshed May 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. ACA marketplace plan data comes from the CMS Qualified Health Plan Public Use File for plan year 2026. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Waipahu Kaiser Permanente Hawaii members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly